Purulent yemajoini: zviratidzo, zvinokonzera, kuongorora chirwere uye kurapwa

Suppurative chearthritis - ane kuzvimba kwemajoini zvivako, kunokonzerwa pathogenic utachiona. Kazhinji, asi "gamba nokuti zuva" vari streptococci uye staphylococci, asi dzimwe nguva vanenge vakabatana anaerobic kasvisto. The causative mumiririri anogona kupinda munzvimbo vagari kuburikidza ronda, anobaya ari tsono, nokufamba ropa uye node.

tsananguro

Purulent yemajoini - iri shoma rikwanise kuzvimba microbial etiology, kukura kupinda pamwe mhango. At kukurumidza kana kurapwa chenhando kunogona kukonzera zvakakomba migumisiro yenguva refu yakadai arthrosis uye contracture. Uyezve, kupararira utachiona ari pamwe miganhu anogona angavhundutsira kwaita abscesses uye abscesses. In mazhinji Muzviitiko zvichibvira septicemia uye osteomyelitis.

Mabatirwo chirwere ichi, sezvo mutemo, vari kuita pachiitiko chinotyisa chiremba. Chavainyanya basa - kuvhura pamwe mhango uye kuti ubvise utachiona fluid uye achiita yakakwana asingaurayiwi kurapa.

etiology

Suppurative chearthritis angatanga zvachose chero vadyi, asi kazhinji kunokanganisa bandauko, mabvi, neketani dzomumakumbo uye hudyu, sezvo ivo vari zvikuru kubatwa kunotevera uye vari kusangana mitoro inorema. Zviri nemamiriro Kamudzira zvinopa-refu kuunganidza pus pasina zviratidzo. Tichifunga izvi zvakanaka emura akaiswa mushonga wokuuraya zvose vagari munyama, kusanganisira shwashwa uye mapfupa. Izvi vakazoroorwa kunotungamirira zvakakomba matambudziko.

Good ropa kuparadzirwa uye nhengo dzinobudisa abudise zvinokonzera kupararira kuzvimba kune nzvimbo dzakapoteredza, izvo zvingangoisa mungozi kukura sepsis uye suppurative osteomyelitis mune ramangwana. Honzeri chirwere kakawanda ndivo streptococci uye staphylococci, zvishoma nevakawanda gonococcus, Escherichia coli coli, Salmonella, Klebsiella uye Proteus.

Pakati zvinokonzera njodzi vangazivikanwa kwazvo pakusvibiswa rakapinza kukuvara pakati mapfundo, nhoroondo yakazaruka mitswe, zvinoderedza vomunharaunda uye vakawanda kutapata uye kuparadzwa muviri rose.

mhando

Purulent yemajoini pakubhadhara maviri zvichienderana chii chaiva mhaka anogumbura mhinduro:

1. Non-zvinorwadza.
2. Zvinorwadza.

Uyezve, hosha yemajoini kuzivikanwa panguva yakaitika:

1. Primary chearthritis, uko kutapuriranwa muitiro wacho akatanga zvakananga kupinda pamwe mhango. Izvi zvinogona kuva zvakaita munhu nokutyora, dislocation, kukuvara kana kunotevera.
2. Secondary chearthritis. Possible ari chiitiko kuti utachiona hwapinda mukati vagari kubva yakasiyana nzvimbo mumuviri.

Suppurative chearthritis pakati pamafudzi muhudyu

Omartrit unovapo panyaya rakapinza kukuvara kana kuwana ane chirwere kana hematogenous lymphogenous nzira. Chiratidzo chirwere rokutanga - chinhu marwadzo kana uchifamba, uye dotragivanii polokachivanii panguva pejoinhi.

Nokufamba kwenguva, purulent yemajoini papfudzi anova kuoneka kune kupfeka ziso, sezvo mvura rinoungana iri pamwe Kamudzira uye deforms nayo. Under minwe yake chiremba anonzwa ropa pus. Kana Urume hunoungana chaizvo chaizvo, anogona kunyunguduka dzinoyerera kupinda Kamudzira nyaya tsandanyama, pasi fascia. Muchiitiko chino, hwaizova kubata cellulitis pamafudzi uye mutsipa.

Ipai kubva kuvapo chirwere ndiye anozivikanwa mamiriro rechipfuwo. Anodzivirira muzvidimbu izvozvo anenge haashandisi, iye akatura pafudzi rake uye ruoko pachayo basa kurutivi akatsivama panguva kugokora.

Arthritis pakati pezvisungo zvenguvo rezasi richiripo

Suppurative chearthritis of ibvi hunotanga pashure chirwere pamwe pathogenic bacteria munyama. Makumi masere muzana zvose HIV zvirwere kuitika kuburikidza mhosva anonzi Staphylococcus, meningococcus, kana Pseudomonas aeruginosa. Zvirwere kunotanga acutely, pamwe kuwedzera kupisa uye zvikuru kudhaka. The ibvi riri kuzvimba, iti chechetere vose vasiri mukudzokera namaberere, dzimwe nguva kuumbwa purulent fistulas munzvimbo rive dete munyama.

Purulent yemajoini neketani Kazhinji anova pamusoro pakanyorwa systemic anogumbura zvirwere zvakadai lupus, gout uye ankylosing spondylitis. Nokuti zvokurwara ichi kunoratidzwa kuwedzera omunharaunda uye vakawanda tembiricha, vadyi kuzvimba, akatsvuka ganda. Dzimwe nguva maturakiti kuonekwe. In chakakomba zviitiko pakazvimba kunosvika kune rutsoka, uye Zvinhu zviri vakaumba mitaro pus.

Purulent yemajoini of hudyu muhudyu, kana chemubhotoro, rinowanikwa muna autoimmune zvirwere, metabolic kusagadzikana uric iine acid mumuviri mumwe chirwere kushoma, uye somugumisiro vagari zadzisa. On the nechekumberi hwakasimba kudhaka, nefivhiri, kuda kurutsa uye kurutsa, uye kurwadziwa panguva kufamba ari pamwe uye akabata pamberi payo, pamusoro akatsvuka ganda pamusoro pejoinhi.

zviratidzo

Chenjera suppurative chearthritis kunotanga pakarepo. The nedambudziko vagari unozvimba, zvava inopisa kuti kubata, ganda pamusoro payo hyperemic, kuoma uye kupenyerera. Panguva iyoyowo, murwere anotanga kuwana marwadzo kana uchifamba, iyo yakawedzera nokufamba kwenguva uye akava "kupfura" zvakasikwa. Chero kubata anova kunorwadza, munhu haagoni kupfeka mbatya pamusoro zvakakanganisa richiripo. Kana tikaita chinhu pashure pemazuva mashoma mumatenhere achatambanudza kumusoro uye pazasi pejoinhi.

Kuwedzera omunharaunda, panewo zvakajairika zviratidzo. Pakati pavo kwakapararira kudhaka, fivha, chills, kuda kurutsa uye kurutsa. Possible kufenda, nomusoro. Kakawanda palpitations, kufema yakadzika uye rinorema.

Diagnostics

Nokuti chirwere kuwedzera rokuongorora uye anamnesis zvinokosha kuti kuitisa yezvirwere nemiedzo. Vakawanda ropa ongororo yakaratidza chaiwo anogumbura mufananidzo: wakawedzera erythrocyte sedimentation zvazvingava, Sheari leukocyte kune reticulocytes, vakawanda neutrophils. Zvinonzi Dzakamukurudzirawo kuti vagari ponji uye kunoguma mvura kupa pamusoro microbiological tsvakurudzo. Mikroskopiruyut pus, akasvibiswa aniline madhayi uye yakawira yakaorera pasi. Mazuva mashanu gare gare, chiremba anogamuchira mushumo, izvo zvairatidza nayo utachiona uye ayo aikanganiswa mushonga.

Zvidzidzo Of paku varayire X-ray. Nomufananidzo zvakajeka kuonekwa mumatenhere munyama, vadyi nzvimbo upamhi, kuvapo erosions uye osteoporosis. Kana hosha yemajoini achangobva atanga, kuti X-ray kungasava anodzidzisa. Muzviitiko zvakadaro, murwere akadana Ultrasound kana CT scan. Kuwedzera ose pamusoro, zvakakodzera kugadza zano chiremba chirwere rwarisa kutonga mumwe generalized chirwere.

Purulent chearthritis: kurapwa

Kunyange zviitiko vanofungidzirwa suppurative chearthritis murwere vanofanira kuva nechokwadi kuenda kuchipatara. Pakarepo, pasina akamirira migumisiro Murabhoritari nemiedzo, empirical inorwisa utachiona ARV basa zvakawanda mabasa kufukidza zvose zvinobvira utachiona. Izvi haambotauri dzakakomba matambudziko.

Pakutanga vakakokwa kuedza kuchinja kurapwa. Kana yakawanda pus shoma kana kutorega zvachose, pabazi rinoshandisirwa varinamire kuchigadzira muna imwe nzvimbo, zvino intra-raitongwa inorwisa mabhakitiriya.

Kana paine Kamudzira kana empyema kuonekwa akashama ziso kuti pejoinhi akaita vaunganidza akawanda fluid muchiitiko ichi kunoratidza pakarepo arthrotomy uye inoshandiswa pakutsigira drainages. On kubvuma murwere rakapinza Maronda kuti majoini pakutanga wakaitwa chikuru kuvhiya pakurapa zvakakuvadza chikamu, achibvisa tsvina uye miviri vatorwa, uye Shanduro zvose zvinobvira Homwe mitaro uye chete pashure kuti zvaimutambisira nyere anoiswa.

dziviriro

Kuti tizvidzivirire Zvinokurudzirwa suppurative chearthritis mune nenguva nenzira kuita kuvhiyiwa osteomyelitis, panguva kuvhura pute uye cellulitis, kuitika munzvimbo kukuvara. Uyewo, iva nechokwadi kuti zvinoenderana mashoko pakurapwa kwezvirwere zvinotapuriranwa uye chero zvazvingava asina kudarika mashoko dzokuzvirapa. Izvi zvinogona kukonzera nemishonga zvigare uye zvakare omesa kurapa.

Kana kuti kukuvara, unofanira kwazvo kugeza ronda, kubata micheto pamwe ayodhini kana girini pendi uye isa bhandeji rakachena. Chokwadi unofanira chinyorwa chakanaka uye nenzira iyi kuenda rubatsiro pakurapwa. Izvi zvichaita aivabatsira basa chiremba uye kubatsira kumbosendeka kutanga chokutsva.

yematambudziko

Wakakura zvikuru kuomesa kwakaita suppurative chearthritis ichaongororwa sezvo sepsis. ezvinhu ichi, izvo chaizvoizvo angavatsugudusa upenyu hwevanhu, sezvo kunogona kuurayisa. Asi, kunze kubva generalized chirwere, pane vakawanda zvirwere chokuita zvokurwara ichi.

Kuunganidza pus ari pamwe Kamudzira angaguma utsotso uye paumbwe abscesses, fistulas uye mitaro anogumbura exudate. Uyezve, uchanyangadika haagoni chete nyoro zvinyama asiwo pfupa uye yemajoini dzinokonzerwa deformation kwakadaro uye defiguratsii migumo. Contractures, izvo kuumbwa nokuda kumanikidzwa yokutsiva chinzvimbo, mu wakakura zvikuru kacho kungaita kukurasikirwa nerevane nokuremara.

Naizvozvo, zvakakosha kuti kukurumidza kurapwa. Usaedze kutsungirira kurwadziwa kana kubatsira pachavo nemakwenzi. Izvi zvinogona chete sembura zvinhu. Chero kuvhunduka panguva imwe ungave wakaona panguva pamberi murume ane tsono kana scalpel, panyaya chakasimba anogumbura chirwere nani kwete kunonoka kurapwa.